Deck 10: Assessing the Female Genitourinary System

Question 1

After a 5 percent acetic acid wash is applied to the cervix, the cervix blanches white. Based on this data, which conclusion by the nurse is appropriate?

A) Bacterial vaginosis
B) Monilial vaginitis
C) HPV
D) Cervical cancer

Answer 1

HPV

Question 2

Which is the first action when inspecting the vaginal walls during an exam?

A) Disengaging the locking device of the speculum
B) Opening the blades of the speculum wider
C) Turning the blades of the speculum clockwise
D) Inserting the speculum as far as it will go, then gradually withdrawing it

Answer 2

Disengaging the locking device of the speculum

Question 3

An adolescent patient worriedly shows the nurse a wart on her vulva. Based on this data which diagnosis does the nurse suspect?

A) Condyloma
B) Genital herpes
C) Chancre
D) Secondary syphilis

Answer 3

Condyloma

Question 4

Obtaining an endocervical smear includes inserting the cytobrush through the speculum into the cervical os about 1 cm and which action?

A) Turning the cytobrush in a circular motion until bleeding occurs.
B) Rotating the cytobrush 360 degrees clockwise and then counterclockwise.
C) Scraping the surface of the cervix.
D) Letting the cytobrush sit in the os for 20 to 30 seconds.

Question 5

The nurse is assessing a patient who is prescribed oral contraceptives. Which finding in the patient's health history increases the risk for stroke?

A) High-salt diet
B) Alcoholism
C) Smoking
D) Active lifestyle

Question 6

During the health history, the nurse should begin with questions about which topic?

A) Sexual satisfaction
B) Self-care
C) Sexual practices
D) Symptoms

Question 7

A yearly Pap test is recommended to screen for which type of cancer?

A) Ovarian
B) Vaginal
C) Uterine
D) Cervical

Question 8

Which action is appropriate when spreading cells from a cytobrush on a slide after a specimen is collected?

A) Sliding the cytobrush back and forth
B) Using a rolling motion
C) Brushing the specimen on the slide vigorously
D) Lightly dabbing onto the slide

Question 9

A patient explains that her mother took diethylstilbestrol (DES) during her pregnancy. The nurse knows that this increases the patient's risk of which disease process?

A) Uterine prolapse
B) Cervical/vaginal cancer
C) Endometriosis
D) Amenorrhea

Question 10

Which cultural/ethnic view of women is common for the Amish?

A) Women gain status with age.
B) Status and power increase with pregnancy.
C) Pregnancy is expected within 1 year of marriage.
D) High status is associated with the role of wife and mother.

Question 11

Pubic hair distribution in a diamond-shaped pattern from the umbilicus that is not associated with cultural or familial differences most likely indicates which manifestation?

A) Chronic skin condition
B) Hirsutism caused by an endocrine disorder
C) Early signs of an infection
D) Effects of androgens

Question 12

Which term is used to describe painful menstruation?

A) Amenorrhea
B) Dysmenorrhea
C) Myalgia
D) Menarche

Question 13

The nurse is assessing a patient who reports vaginal discharge for 1 week, itching, and mild dysuria. Which question is appropriate to include in the assessment history for this patient?

A) "What is the color of the discharge?"
B) "Does your sexual partner have the same symptoms?"
C) "How often do you have vaginal bleeding?"
D) "How would you describe your normal flow?"

Question 14

If the examiner had difficulty visualizing the cervix with initial insertion of the speculum, the examiner should close the blades and perform which action?

A) Withdraw the speculum 2 to 3 cm and reinsert at a different angle.
B) Push the speculum farther into the vagina 4 to 6 cm and rotate the blades.
C) Remove the speculum and obtain a larger speculum.
D) Remove the speculum and document that the exam could not be completed.

Question 15

A gray vaginal discharge with an unpleasant fishy or musty odor is likely to be a symptom of which infection?

A) Candidiasis
B) Trichomonas
C) Gonorrhea
D) Chlamydia

Question 16

The nurse is assessing vaginal bleeding during the health history. Which question is appropriate?

A) "How many pads or tampons are used in a 2 hour period?"
B) "How many pads or tampons are used in a 10 hour period?"
C) "How many pads or tampons are used in a 24 hour period?"
D) "How many pads or tampons are used in a 72 hour period?"

Question 17

An adult patient who is the mother of two states that she no longer has much sexual desire. Which factors may be the cause?

A) Fatigue
B) Self-image
C) Medications
D) All of the above

Question 18

A patient nervously explains that she has just become sexually active and has a rash. She quickly states that it can't be a sexually transmitted disease (STD) because "he used a condom." The nurse examines the patient and finds her vagina to be erythematous and edematous. Based on the data, which is the most likely cause for the patient's symptoms?

A) HPV
B) Gonorrhea
C) Bacterial infection
D) Latex allergy

Question 19

Before beginning to perform a gynecological assessment, which would you ask the patient to perform?

A) Taking short, quick breaths to lessen the discomfort
B) Assuming the supine position
C) Emptying the bladder
D) Reviewing the medical history

Question 20

The nurse is assessing an older adolescent patient who has not begun to menstruate. Which should the nurse inquire about during the health history as possible causes?

A) Eating disorders
B) Intensive athletic training
C) Hypothyroidism
D) All of the above

Question 21

During a physical assessment the nurse notes vesicles. Which disease process is associated with this clinical manifestation?

A) Secondary syphilis
B) Herpes simplex virus
C) Hyperthyroidism
D) Gonorrhea

Question 22

The nurse is conducting a health history assessment for a patient who presents with dysmenorrhea. Which assessment question is appropriate?

A) "Which method of birth control do you use?"
B) "How much bleeding occurs?"
C) "When was your last menstrual period?"
D) "When did the pain start?"

Question 23

The nurse is conducting a health maintenance visit for an older adult patient. Which is an expected finding for this patient based on age?

A) Enlarged clitoris
B) Copious vaginal secretions
C) Increased risk for vaginal infections
D) Decreased risk for painful intercourse

Question 24

Which are the primary functions of the female reproductive system? Select all that apply.

A) Protecting ova for fertilization
B) Transporting the fertilized ova for implantation
C) Nourishing the developing fetus
D) Producing sperm
E) Providing a drainage site for the excretion of urine

Question 25

The nurse is collecting a health history for a patient during a routine health maintenance visit. The patient states, "I am in menopause." Which conclusion by the nurse is most appropriate based on this data?

A) The patient is no longer sexually active.
B) The patient has never had any children.
C) The patient has a sexually transmitted infection.
D) The patient has not had a menstrual period in a year.

Question 26

The nurse is assessing the patient for clinical manifestations associated with premenstrual syndrome. Which question is appropriate?

A) "How often do you have intercourse?"
B) "Are you able to achieve orgasm?"
C) "Do you experience bloating?"
D) "How many sexual partners have you had?"

Question 27

The nurse is conducting a health history interview for a patient who presents with urinary symptoms. Which questions are appropriate? Select all that apply.

A) "What is your menstrual history?"
B) "What is your pregnancy history?"
C) "What is your sexual history?"
D) "Do you have pain when voiding?"
E) "Do you take showers or tub baths?"

Question 28

The nurse is preparing a patient for a pelvic examination. Which patient position is most appropriate?

A) Side-lying
B) Supine
C) Lithotomy
D) Prone

Question 29

The nurse is assessing a patient who is diagnosed with pelvic inflammatory disease (PID). Which form of contraception in the patient's health history could have contributed to this diagnosis?

A) Intrauterine device
B) Diaphragm
C) Oral contraceptives
D) Latex condoms

Question 30

The nurse is conducting a reproductive assessment for a pregnant patient. Which findings does the nurse anticipate? Select all that apply.

A) Uterine hypertrophy
B) Cervix softening
C) Black discoloration of the cervix
D) Presence of a mucus plug
E) Hardening of the vaginal walls

Question 31

The nurse is conducting a health history interview for a patient who presents with amenorrhea. Which questions are appropriate? Select all that apply.

A) "What is your menstrual history?"
B) "What is your pregnancy history?"
C) "What is your sexual history?"
D) "Do you have pain when voiding?"
E) "Do you take showers or tub baths?"

Question 32

The nurse is assessing a patient who is prescribed tamoxifen. Which adverse reaction will the nurse assess this client for based on this data?

A) Ovarian suppression
B) Ovarian fibrosis
C) Infertility
D) Vaginal discharge

Question 33

The nurse is conducting an assessment for a patient who is diagnosed with osteoporosis. Which clinical manifestation is associated with this disease process?

A) Height loss
B) Weight loss
C) Amenorrhea
D) Depression

Question 34

The nurse is assessing a pregnant patient and notes a Chadwick sign. Which did the nurse inspect during the examination?

A) A red cervix
B) A blue-tinged cervix
C) A pink cervix
D) A dilated cervix

Question 35

The nurse is assessing a patient for clinical manifestations associated with perimenopause. Which question is most appropriate?

A) "Are you experiencing hot flashes?"
B) "When was your last menstrual period?"
C) "Were you ever prescribed fertility drugs?"
D) "Did you experience any postpartum complications?"

Question 36

During a pelvic examination the nurse notes the vaginal walls are pale. Which is the possible cause for this clinical manifestation?

A) Inflammation
B) Trauma
C) Anemia
D) Carcinoma

Question 37

The nurse documents that the female patient is in stage 2 of sexual maturation. Which clinical manifestation supports the nurse's documentation for this patient? Select all that apply.

A) Fine body hair
B) Straight or slightly curled pubic hair
C) Hair on the labia
D) Coarse pubic hair
E) Hair spreads over the medial surface of the thigh